Individual
TATE MATTHEW NAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1111 TENEYCK ST, JACKSON, MI 49201-2461
(517) 205-8940
Mailing address
1111 TENEYCK ST, JACKSON, MI 49201-2461
(517) 205-8940
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
4301512429
MI
207Y00000X
Otolaryngology Physician
81596
WI
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
81596-20
WI
Other
Enumeration date
04/28/2018
Last updated
07/15/2024
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